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Certificate Of Completion <br />Envelope Id: B9D388FBD1A54794BA0E1F059AC6B0C9 Status: Completed <br />Subject: Please DocuSign: Consulting Services Agreement (CSA)_Martin Eichner MHRSO Hearing Officer.pdf <br />Source Envelope: <br />Document Pages: 20 Signatures: 6 Envelope Originator: <br />Certificate Pages: 6 Initials: 0 Kimberly Anderson <br />AutoNav: Enabled <br />EnvelopeId Stamping: Enabled <br />Time Zone: (UTC-08:00) Pacific Time (US & <br />Canada) <br />Stamps: 1 835 E 14th St <br />San Leandro, CA 94577 <br />kanderson@sanleandro.org <br />IP Address: 192.83.149.200 <br />Record Tracking <br />Status: Original <br /> 10/20/2021 2:35:33 PM <br />Holder: Kimberly Anderson <br /> kanderson@sanleandro.org <br />Location: DocuSign <br />Security Appliance Status: Connected Pool: StateLocal <br />Storage Appliance Status: Connected Pool: City of San Leandro Location: DocuSign <br />Signer Events Signature Timestamp <br />Martin Eichner <br />martineichnermediation@gmail.com <br />Security Level: Email, Account Authentication <br />(None) <br />Signature Adoption: Pre-selected Style <br />Using IP Address: 50.109.199.165 <br />Sent: 10/20/2021 2:44:26 PM <br />Viewed: 10/21/2021 6:43:24 AM <br />Signed: 10/21/2021 6:45:59 AM <br />Electronic Record and Signature Disclosure: <br /> Accepted: 10/21/2021 6:43:24 AM <br /> ID: 491eea03-af84-4b9c-90a6-decf1765394e <br />Tom Liao <br />tliao@sanleandro.org <br />Security Level: Email, Account Authentication <br />(None) <br />Signature Adoption: Pre-selected Style <br />Using IP Address: 192.83.149.200 <br />Sent: 10/21/2021 6:46:02 AM <br />Viewed: 10/21/2021 11:27:31 AM <br />Signed: 10/21/2021 11:27:48 AM <br />Electronic Record and Signature Disclosure: <br /> Accepted: 6/24/2020 7:37:06 PM <br /> ID: 66451328-d8e3-4b00-801f-2b5d10faf4e3 <br />Richard Pio Roda <br />rpioroda@meyersnave.com <br />Principal <br />Signing Group: City Attorney <br />Security Level: Email, Account Authentication <br />(None) <br />Signature Adoption: Pre-selected Style <br />Using IP Address: 206.169.145.130 <br />Sent: 10/21/2021 11:27:51 AM <br />Viewed: 10/21/2021 11:29:03 AM <br />Signed: 10/21/2021 11:29:58 AM <br />Electronic Record and Signature Disclosure: <br /> Accepted: 10/21/2021 11:29:02 AM <br /> ID: 55bf57b5-a37e-41d0-bccd-d229adffc025 <br />Scott Koll <br />skoll@sanleandro.org <br />Financial Services Manager <br />City of San Leandro <br />Signing Group: Budget and Compliance Manager <br />Security Level: Email, Account Authentication <br />(None) <br />Completed <br />Using IP Address: 192.83.149.201 <br />Sent: 10/21/2021 11:30:02 AM <br />Viewed: 10/21/2021 1:25:44 PM <br />Signed: 10/21/2021 1:29:34 PM <br />Electronic Record and Signature Disclosure: <br />DocuSign Envelope ID: 7BC2867C-C865-4505-8E20-8913AA33A6E1